<?php include_once './application/views/top.php'; ?>
<div class="cb"></div>
<div class="gongying_shenqing_main">
    <div class="gongying_shenqing_main_inner">
        <div class="gongying_shenqing_main_inner_cen">
            <div class="gongying_shenqing_biaoti">
                <h4>个人金融业务申请表</h4>
            </div>
            <div class="gongying_tishi">
                <p>1、请如实填写您的姓名、电话!<br>
                    2、当您填写完毕并提交申请信息后，金银贷客户经理会尽快与您取得联系。<br>
                    3、您在填写过程中如有任何疑问，请致电金银贷融资部：0735-2656509</p>
            </div>
            <form action="/o2o/apply_post" method="post" enctype="multipart/form-data">
                <div class="gongying_shenqing_liebiao">
                    <div class="gongying_shenqing_liebiao_text">
                        <div class="gongying_liebiao_font"><p>申请人：</p></div>
                        <input name="apply_name" type="text">
                    </div>
                    <div class="gongying_shenqing_liebiao_text">
                        <div class="gongying_liebiao_font"><p>联系方式：</p></div>
                        <input name="connect_tel" type="text" placeholder="请输入您的手机号">
                    </div>
                    <div class="gongying_shenqing_liebiao_text">
                        <div class="gongying_liebiao_font"><p>申贷金额：</p></div>
                        <input name="apply_amount" type="text">
                        <span>万元</span>
                    </div>
                    <div class="gongying_shenqing_liebiao_textarea">
                        <div class="gongying_liebiao_font"><p>备注：</p></div>
                        <textarea name="remarks" placeholder="如有未完善信息，请在此补充。"></textarea>
                    </div>
                    <div class="cb"></div>
                    <div class="gongying_shenqing_liebiao_input">
                        <input type="submit" value="提交申请">
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>
<div id="dialog" title="系统提示" style="display:none;" >
    <p id="msg" style="text-align:center;clear: both;"></p>
</div>
<?php include_once './application/views/footer.php'; ?>
